Gledowls Application Form

Gledowls Application Form
Child's Name*

First NameLast Name
Child's Class*
Parent/Carer Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Date*

DayMonthYear
Date
My child also has sibling(s) who attend Gledowls. Please state their name & current class below:
We will use this information to ensure sibling priority takes place where a session is over subscribed
Other named adults who are permitted to collect your child*
Password to be used by named adults who are unknown to club staff*
Any other information you feel may help us in caring for your child*
Sessions Request
Breakfast Club*

No breakfast club requiredMondayTuesdayWednesdayThursdayFriday
After School Club*

No after school club requiredMondayTuesdayWednesdayThursdayFriday
Does your child have any additional or special educational needs?*

YesNo
If yes, please provide further details
Payment Information
All payments will show on your ParentPay account. This includes the one off registration fee £25 ( New Applicants Only) late fees and any extra sessions. www.parentpay.com

We use ParentPay App/online portal for all school payments including Gledowls Before & Afterschool club and once your child has started at our school you will be sent a ParentPay log-in to ensure payments can be made swiftly and one month in advance, as per our terms and conditions.
Will you use any Childcare Vouchers?*

YesNo
Signature*

Clear
Date*

DayMonthYear
Date
Should be Empty:

Sessions Request